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New Landing Page Request
Landing Page Information
Vendor Name
(Required)
Landing Page URL
(Required)
Matrix/Calculation
(Required)
Select Here
Vendor E (2%)
Vendor G (3%)
Vendor I (4%)
Vendor K (5%)
Vendor Logo (HD)
(Required)
Sample screenshot
here
Accepted file types: jpg, png, jpeg, bmp, ai, psd, Max. file size: 50 MB.
Email Alias
(Required)
Funding Manager Profiles
(Required)
Funding Manager Profiles
Sample screenshot
here
1
2
3
4
5
6
Deadline Date
YYYY dash MM dash DD
Manager 1: Picture
(Required)
Accepted file types: jpg, png, jpeg, bmp, ai, psd, Max. file size: 50 MB.
Manager 1: Full Name
(Required)
Manager 1: Phone
(Required)
Manager 1: Phone Extension
(Required)
Manager 2: Picture
(Required)
Accepted file types: jpg, png, jpeg, bmp, ai, psd, Max. file size: 50 MB.
Manager 2: Full Name
(Required)
Manager 2: Phone
(Required)
Manager 2: Phone Extension
(Required)
Manager 3: Picture
(Required)
Accepted file types: jpg, png, jpeg, bmp, ai, psd, Max. file size: 50 MB.
Manager 3: Full Name
(Required)
Manager 3: Phone
(Required)
Manager 3: Phone Extension
(Required)
Manager 4: Picture
(Required)
Accepted file types: jpg, png, jpeg, bmp, ai, psd, Max. file size: 50 MB.
Manager 4: Full Name
(Required)
Manager 4: Phone
(Required)
Manager 4: Phone Extension
(Required)
Manager 5: Picture
(Required)
Accepted file types: jpg, png, jpeg, bmp, ai, psd, Max. file size: 50 MB.
Manager 5: Full Name
(Required)
Manager 5: Phone
(Required)
Manager 5: Phone Extension
(Required)
Manager 6: Picture
(Required)
Accepted file types: jpg, png, jpeg, bmp, ai, psd, Max. file size: 50 MB.
Manager 6: Full Name
(Required)
Manager 6: Phone
(Required)
Manager 6: Phone Extension
(Required)
Application Email Notification Settings
Application Form Email Notification Sent Primarily
(Required)
Application Form Email Notification Sent CC
Application Form Email Notification BCC Sent To
Payment Quote Email Notification Settings
Payment Quote Form Email Notification Sent Primarily
(Required)
Payment Quote Form Email Notification Sent CC
Payment Quote Form Email Notification BCC Sent To
Service Cost Email Notification Settings
Service Cost Form Email Notification Sent Primarily
(Required)
Service Cost Form Email Notification Sent CC
Service Cost Form Email Notification BCC Sent To
Special/Other Request
